Test 2: Wk7: 1 Tubular transport of glucose/phosphate/urea/organic - Mangiarua Flashcards

1
Q

many transporter are —

A

not specific and transport a variety of similar subatances

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2
Q

most organic solutes are transported only in

A

proximal tubule

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3
Q

— charged organic solutes enter the cell via symporters with Na

A

neutral/ negative

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4
Q

— enter via uniporters driven by the negative membrane potential

A

cations

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5
Q

solutes move through a variety of pathways across the opposite membrane from which they entered in favor of — or couple via a —

A

chemical gradient, antiporter

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6
Q

glucose is filtered where

A

freely at glomerulus

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7
Q

glucose is taken up across the apical membrane by — and — and leaves across the basolateral membrane via —

A

SLGT2 and SGLT1; glucose uniporters GLUT

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8
Q

all filtered glucose is

A

reabsorbed

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9
Q

transport maximum for glucose Tm

A

375 mg/min

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10
Q

Glucose first appears in the urine at the

A

plasma threshold for glucose

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11
Q

true plasma threshold for glucose is

A

180-200 mg/ 100ml

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12
Q

splay

A

Glucose appears in the urine prior to complete saturation of tubular reabsorptive capacity

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13
Q

4 key characteristics of glucose transport

A

(1) threshold,
2) saturation (Tm),
(3) splay
(4) clearance approaching GFR at infinite plasma concentrations

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14
Q

Glucose is reabsorbed by the same mechanism that reabsorbs

A

xylose, fructose and

galactose

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15
Q

⬆⬆⬆ Plasma Glucose conc. blocks all reabsorption of —

A

xylose

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16
Q

Renal glycosuria

A

glucose in urine as a result of a defective or missing transport
mechanism

TG = 0 or very low.

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17
Q

Diabetes mellitus glucosuria due to

A

lack of insulin

TG = OK

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18
Q

Pregnancy - glucosuria due to

A

⬆⬆⬆ GFR, glomerular hyperfiltration.
RBF may increase 40% in response to gestational hormones

TG = OK

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19
Q

clearance of amino acids

A

0

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20
Q

amino acids are — reabsorbed

A

actively reabsorbed

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21
Q

filtered loads of amino acids are normally —- than their Tm

A

much less

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22
Q

amino acid transport mechanisms exhibit considerable —

23
Q

— may occur in the presence of two related amino acids

A

competitive inhibition

24
Q

the — absorbs <98% of amino acids via a — route

A

prox tubule; transcellular

25
at the apical membrane amino acids enter via
Na or H driven transporters and exchangers
26
at the basolateral membrane amino acids exit the cell via
amino acid exchangers | some Na dependent and some facilitated diffusion
27
the --- reabsorbs ~98% of filtered olgliopeptides
prox tubule
28
small linear peptides like ANGII are
completely filterable
29
enzymes in the brush border of the PCT break oligopeptides into --- which are reabsorbed
amino acids
30
--- to --- molecular wt proteins will filter
7000 to 70,000
31
the proximal tubules reabsorb % to % of filtered protein
96% - 99%
32
the kidney --- filters urea at the --- then it reabsorbs and secretes it
freely, glomerulus
33
the tubules reabsorb --- urea than they secrete which makes the amount of urea in the urine --- that what is filtered
more, less
34
primary site of urea secretion
thin limbs of loop of henle
35
in the proximal tubule, water carriers urea by --- via --- or --- pathways
diffusion via transcellular or paracellular
36
some urea may be reabsorbed by --- across --
solvent drag across tight junctions
37
in the thin descending limb, urea is secreted by --- through ---
facilitated diffusion through urea transporters
38
urea secretion thin ascending limb
same as descending (facilitated diffusion) ; transporter unknown
39
Inner medullary collecting duct --- urea via --- involving ---
reabsorbs urea via transcellular route involving apical and basolateral membranes
40
Inner medullary collecting duct urea transporter for apical membrane
UT-A1
41
Inner medullary collecting duct urea transporter for basolateral membrane
UT-A3
42
--- stimulates UT-A1 and UTA-3
ADH
43
urea excretion --- with increasing urine flow
rises
44
organic anions and cations are secreted by ---
late proximal tubule
45
Organic Anions enter the cell across the basolateral membrane by one of three α-ketoglutarate antiporter mechanisms
OAT1, OAT2, OAT3
46
Organic Anions leave the cell across the apical membrane by ---
MRP2
47
Organic Cations enter the cell across the basolateral membrane by four transport pathways: --- and 3 uniporters
passive diffusion OCT1, OCT2, OCT3
48
Organic Cations leave the cell across the apical membrane in exchange for H+ by two antiporters
OCTN1, OCTN2 OC+-H+
49
weak organic acids and bases are reabsorbed or secreted
passively
50
in acidic urine a weak acid will be ---
reabsorbed
51
in alkaline urine a weak acid will be ---
excreted
52
in acidic urine, a weak base will be ---
excreted
53
in alkaline urine a weak base is ---
reabsorbed